837P and CMS-1500 are related, not identical

The CMS-1500 is a paper professional claim form. An 837P is a structured X12 electronic transaction used for professional claims. Many data concepts correspond, but the workflows, formatting rules, validation, and submission steps are different.

What the software does

CMS-1500 Electronic Claim Software lets you prepare professional claim information in a Windows workflow and create an 837P Version 5010A1 file. The software creates the file; it does not transmit claims directly.

What happens next

After the file is created, submit it using the payer, clearinghouse, Medicare contractor, billing service, or other electronic connection your organization uses. The receiver may return acknowledgment files that report transaction or claim status.

Try an example

Download the synthetic sample 837P file or open the free 837P Validator to see how an electronic professional claim is structured.

Download Synthetic 837P Sample Open Free 837P Validator

Sources and verification

Paper or electronic professional claims?

Choose the workflow that matches how you need to deliver the claim.

Preparing a paper claim? → CMS-1500 Software$99 Windows software for saving, validating, and printing CMS-1500 paper claims.Submitting electronically? → 837P Software$199 Windows software that creates professional 837P electronic claim files. File transmission is handled separately.

Related electronic claim resources